Case Study: Cellulitis

The hospital alternative in action: Advanced Care


How Advanced Care can help:

  • Generate medical cost savings for your high-risk patients
  • Increase patient satisfaction by providing care in the home where they are most comfortable
  • Improve health outcomes by addressing SDoH
  • Support a reduction in readmission rates
  • Expand your practice with DispatchHealth in-home mobile offerings, without the investment of time and capital from your team

Do you have a patient like this?

Introduction & Presentation

Meet John, a 66-year-old male who had persistent discomfort from an existing callus on his right foot. After attempting some selftreatment, he noticed increased redness and swelling of the foot and called DispatchHealth. After an evaluation from the Acute Care Team, it was recommended that John be admitted to Advanced Care for a rapidly progressing foot infection due to a foot ulcer.

The power of Advanced Care for cellulitis

On-site intervention: Advanced Care, high acuity

History: The patient has a history of cardiac catheterization, coronary artery bypass graft, dyslipidemia, uncontrolled Type 2 diabetes, and hypothyroidism.

Physical exam: Redness and streaking erythema traveling up the right leg.

Labs: Wound culture, 12-lead EKG, glucose checks, monitored labs daily.

On-site imaging: Ultrasound and x-ray of the right leg.

Medications: IV antibiotics administered for cellulitis.

In-person and remote patient monitoring: Physician-led daily rounding, continuous remote monitoring of ECG, blood pressure, pulse ox, and weight. In-person nightly visit with the nurse, in addition to a follow-up, call each evening with the nursing staff.

SDOH assessment: Meal sampling for Type 2 Diabetes and hypertension.

Education: Disease-specific education for diabetes and hypertension, and the importance of a healthy diet and glucose monitoring.

Care coordination: Coordinated with podiatry for wound debridement, discussed care plan, and ongoing communication with PCP over a 30-day intervention period.


John’s experience:

Caring for this medically complex patient in the home eliminated the need for a trip to the ER and helped avoid a surgical procedure. At the conclusion of the 30-day admission period, John had maintained a blood glucose level of less than 200mg/dl and had complete resolution of the skin infection. John is the primary caregiver for his disabled son. Providing this care allowed them to remain in the home.

DispatchHealth meets patients where they are, equipped with everything needed to provide excellent medical care for serious health concerns.

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